Patient Accounts Specialist

3 days ago


Jacksonville, Florida, United States Mental Health Resource Center Full time
Job Summary

The Patient Accounts Specialist is a key member of our team at Mental Health Resource Center, responsible for ensuring accurate and timely claims submissions, reimbursements, adjustments, and refunds of assigned insurance payers in accordance with current policies and procedures.

Responsibilities
  • Files claims with all appropriate payers, ensuring timely and accurate submissions.
  • Generates daily billing reports that reflect payer summaries of claims filed and amounts to be collected for submission to the Business Office Manager.
  • Transmits billing electronically and manually for all companies in accordance with departmental deadlines.
  • Evaluates denials in a timely manner for appropriate reconciliation, rebilling, and other necessary follow-up.
  • Receives phone calls and inquiries from both third-party payers and individuals served on claims and responds to same as appropriate.
  • Maintains and updates financial files that contain current demographics, historical data, financial status, and payer source.
  • Works cooperatively with other departments to obtain accurate clinical and demographic information to ensure timely billing and collection of fees owed for services rendered.
  • Reviews and utilizes Accounts Receivables aging and billing error reports for the purposes of correction, reconciliation, and problem resolution in regard to receivables, in an effort to prevent 90 and 120-day receivables.
  • Processes financial evaluations for eligibility of sliding scale, as well as maintaining financial documents.
Qualifications
  • A High school graduate or equivalent required.
  • Two years of medical third-party billing and collection experience required.
  • Two years experience working with a desktop computer and related software (i.e. Microsoft Office).
  • Experience with Medicare preferred.
Position Details

This position is a Full Time Days position: Monday through Friday, 8:00am to 4:30pm.



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